NPI 1013204544

Nicole Delores Henson

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Parkville, MO

Practice location

Address: 9310 NW 59th Ter, Parkville, MO 64152-3536
Phone: (913) 909-5205

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Missouri →

Registry record

NPI: 1013204544
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2011
Record last updated: 5 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.